Individual
KAREN MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
515 BRETON HIGHLANDS, FAIRBURN, GA 30213-6021
(850) 508-7237
Mailing address
515 BRETON HIGHLANDS, FAIRBURN, GA 30213-6021
(850) 508-7237
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225X00000X
Occupational Therapist
Primary
OT006480
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693303396
—
FL
Enumeration date
11/25/2013
Last updated
07/15/2020
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